Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.85 / $1,513.92 / $5,320.00	Facility		$432.85	$1,513.92	$5,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,070.50 / $14,070.50 / $70,328.89	Facility	50	$14,070.50	$14,070.50	$70,328.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.67 / $1,311.40 / $2,120.27	Professional		$298.67	$1,311.40	$2,120.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,557.00 / $2,355.91 / $2,546.46	Professional	50	$1,557.00	$2,355.91	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.78 / $314.50 / $350.98	Professional		$189.78	$314.50	$350.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $471.75 / $569.34 / $569.34	Professional	50	$471.75	$569.34	$569.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.99 / $1,048.46 / $1,863.18	Professional		$253.99	$1,048.46	$1,863.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $380.99 / $1,572.69 / $2,794.78	Professional	50	$380.99	$1,572.69	$2,794.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $412.96 / $485.84	Facility		$285.45	$412.96	$485.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $440.29 / $2,085.38	Professional		$334.62	$440.29	$2,085.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.87 / $1,474.36 / $2,910.33	Professional		$367.87	$1,474.36	$2,910.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,262.21	Professional		$32.34	$32.34	$1,262.21
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $6,818.00 / $11,706.00	Facility		$973.00	$6,818.00	$11,706.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.64 / $2,161.63 / $3,070.90	Professional		$1,537.64	$2,161.63	$3,070.90